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Please use this identifier to cite or link to this item: http://hdl.handle.net/11055/915
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dc.contributor.authorSmith NAen_US
dc.contributor.authorBatterham Men_US
dc.contributor.authorPeoples GEen_US
dc.contributor.authorShulman MAen_US
dc.date2019-11-28-
dc.date.accessioned2019-12-12T22:34:26Z-
dc.date.available2019-12-12T22:34:26Z-
dc.date.issued2019-11-
dc.identifier.citationVol. 47(6): 522–531en_US
dc.identifier.urihttp://hdl.handle.net/11055/915-
dc.description.abstractAbstract The clinical and functional characteristics of patients with severe obesity who present for non-bariatric surgery have rarely been described. For this study, 293 such patients (mean body mass index 42 kg/m2) were investigated using their medical records, a 6-minute walk test, N-terminal pro B-type natriuretic peptide measurement, and the World Health Organization Disability Assessment Schedule 2.0 measure of disability. Cardiorespiratory disease and diabetes were common, with blood tests revealing a high probability of additional unexpected and undiagnosed renal and cardiac disease in a significant proportion of patients. One-third of patients had natriuretic peptide values that identify early left ventricular dysfunction in the community, with 16% above a value described as useful in predicting adverse outcomes for elective surgical patients. Only 10% of patients walked a distance within 10% of that predicted in six minutes, and 22% did not complete the test. Over one-third of patients (34%) had a clinically significant level of disability, with those unable to walk for six minutes describing higher levels of disability. Functional capacity as measured by the 6-minute walk test was significantly lower than would be expected from age, gender, and weight alone, and was related to age and degree of disability but not body mass index. We describe a severely obese population presenting for non-bariatric surgery who had significant levels of comorbid disease, functional impairment, and disability that were not apparent on routine preoperative assessment.en_US
dc.subjectObesity, preoperative assessment, disability, functional capacity, comorbiditiesen_US
dc.titleThe clinical, functional and disability characteristics of patients with severe obesity presenting for non-bariatric surgery.en_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitleAnaesthesia and Intensive Careen_US
dc.identifier.orcidhttps://orcid.org/0000-0002-8337-4352en_US
dc.identifier.doiDOI: 10.1177/0310057X19887976en_US
dc.description.affiliatesWollongong Hospital, The University of Wollongong, Department of Anaesthesiology and Perioperative Medicine, The Alfred Hospital and Monash University, Melbourne, Australiaen_US
dc.type.studyortrialObservational studyen_US
dc.contributor.anzcaShulman, MAen_US
dc.contributor.anzcaSmith, NAen_US
dc.identifier.studynameAustralian New Zealand Clinical Trial Registry (ACTRN 12615001264572). Project grant from the Australian and New Zealand College of Anaesthetists (16/ 018).en_US
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